Education & Awareness

Understanding Thalassemia

Knowledge is the first step toward prevention and better care. Learn about this genetic blood disorder, its impact, and how we can work together to reduce its prevalence in Pakistan.

The Basics

What is Thalassemia?

Thalassemia is an inherited blood disorder that affects the body's ability to produce hemoglobin and healthy red blood cells. Hemoglobin is the protein in red blood cells responsible for carrying oxygen throughout the body.

In people with thalassemia, the hemoglobin is either abnormally formed or produced in inadequate amounts. This results in anemia — a shortage of red blood cells that can cause fatigue, weakness, and other serious health complications if left untreated.

Thalassemia is caused by mutations in the DNA of cells that make hemoglobin. The mutations are passed from parents to children. If both parents carry the thalassemia gene, their children have a 25% chance of being born with thalassemia major.

Types of Thalassemia

Thalassemia Minor (Carrier)

One defective gene. Usually no symptoms; can pass gene to children.

Thalassemia Intermedia

Two defective genes with moderate symptoms. May need occasional transfusions.

Thalassemia Major (Cooley's Anemia)

Two defective genes with severe symptoms. Requires regular lifelong transfusions.

Diagram showing normal vs thalassemia blood cells
Recognition

Signs & Symptoms

Symptoms typically appear within the first two years of life in children with thalassemia major. Early recognition is crucial for timely treatment.

Fatigue & Weakness

Persistent tiredness due to low hemoglobin levels affecting oxygen delivery to tissues.

Pale or Yellowish Skin

Pallor or jaundice caused by anemia and breakdown of abnormal red blood cells.

Slow Growth

Delayed growth and development in children due to chronic anemia.

Bone Deformities

Facial bone changes as the body tries to produce more blood cells in bone marrow.

Enlarged Spleen

Splenomegaly from filtering abnormal red blood cells.

Dark Urine

Caused by rapid breakdown of red blood cells releasing hemoglobin.

When to See a Doctor

If your child shows signs of severe fatigue, pale skin, poor appetite, or slow growth, consult a healthcare provider immediately. Early diagnosis and treatment significantly improve outcomes.

Care Options

Treatment Approaches

While thalassemia is a lifelong condition, effective treatments are available to manage symptoms and improve quality of life.

Blood Transfusions

Every 2-4 weeks

Regular transfusions every 2-4 weeks to maintain healthy hemoglobin levels and prevent complications from severe anemia.

Iron Chelation Therapy

Daily medication

Medication to remove excess iron from the body, preventing organ damage caused by iron overload from repeated transfusions.

Bone Marrow Transplant

One-time procedure

The only cure for thalassemia. Replacing diseased bone marrow with healthy donor cells can lead to a transfusion-free life.

Gene Therapy

Experimental

Emerging treatment that modifies patient's own cells to produce healthy hemoglobin. Still in clinical trials but showing promise.

At H2F, we provide all these treatments free of cost to eligible patients.

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Prevention is Key

Preventing Thalassemia in Future Generations

While we cannot yet cure thalassemia in all patients, we can prevent new cases through awareness and screening programs.

Pre-Marital Screening

Testing both partners before marriage to identify carrier status and understand the risk of having affected children.

Genetic Counseling

Professional guidance for at-risk couples about inheritance patterns, testing options, and family planning decisions.

Prenatal Testing

Chorionic villus sampling (CVS) or amniocentesis during pregnancy to determine if the baby is affected.

Public Awareness

Community education about thalassemia, its inheritance, and the importance of screening to reduce disease prevalence.

If you or your partner have a family history of thalassemia, or belong to a high-risk population, get tested.

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Local Context

Thalassemia in Pakistan

Pakistan faces a significant burden of thalassemia, making awareness and prevention crucial.

5-8%

of Pakistan's population are carriers

5,000-9,000

children born with thalassemia major annually

100,000+

people living with thalassemia in Pakistan

Why is Thalassemia Common in Pakistan?

  • Consanguineous marriages: High rates of cousin marriages increase the chance of both parents being carriers.
  • Limited screening: Lack of mandatory pre-marital screening programs in most regions.
  • Low awareness: Many carriers don't know their status due to lack of education about the condition.
Common Questions

Frequently Asked Questions

Find answers to the most common questions about thalassemia.

Have more questions? We're here to help.

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Help Us Fight Thalassemia

Your support enables us to provide free treatment, spread awareness, and work toward a thalassemia-free Pakistan.